Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly R Hazen, MSW, LCSW

Individual provider Mental Health Counselor · NPI 1194149062

Kimberly R Hazen, MSW, LCSW is a Clinical Social Worker in Round Rock, Texas. Qualified in 2009, 17 years ago. Practices with Mark Malone MD PA, a 101-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania and Texas.

Years since qualifying
17
Licensed in
PA, TX
In the registry since
2014
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2000 S Mays St Ste 201
Round Rock, TX 78664-7580
Phone: (512) 244-4272
Fax: (512) 244-2895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 106814 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence CW017885 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence CW017885 (PA)

Record details

NPI number1194149062
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedFebruary 12, 2014
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mark Malone Md Pa — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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